Evidence map›Paper›PMID 42533892›Full record

ArticleJournal of military, veteran and family health2024

Families' moral distress when supporting military Veteran and public safety personnel's mental health: Conceptual model.

Sharon Lawn, Louise Roberts, Elaine Waddell, Wavne Rikkers, Ben Wadham, Tiffany Beks, David Lawrence, Pilar Rioseco, Tiffany Sharp, Galina Daraganova and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of military, veteran and family health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sharon LawnOpen Door Initiative, Flinders University, Adelaide, South Australia, Australia.
Louise RobertsCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Elaine WaddellOpen Door Initiative, Flinders University, Adelaide, South Australia, Australia.
Wavne RikkersSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Ben WadhamOpen Door Initiative, Flinders University, Adelaide, South Australia, Australia.
Tiffany BeksWerklund School of Education, University of Calgary, Calgary, Alberta, Canada.
David LawrenceSchool of Population Health, Curtin University, Perth, Western Australia, Australia.
Pilar RiosecoAustralian Institute of Family Studies, Melbourne, Victoria, Australia.
Tiffany SharpOpen Door Initiative, Flinders University, Adelaide, South Australia, Australia.
Galina DaraganovaSouth-Eastern Melbourne Primary Health Network, Melbourne, Victoria, Australia.
Miranda Van HooffMilitary and Emergency Services Health Australia, The Hospital Research Foundation Group, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Families are vital in supporting the mental health and well-being of military Veterans and public safety personnel (PSP; e.g., police, ambulance, fire, and emergency services), yet they can feel that services exclude them. The objective of this study was to describe families' experiences of supporting Veterans/PSP seeking help for mental health concerns and formulate a conceptual model to illustrate the impacts of these experiences on families. Methods: The conceptual model was informed by thematic analyses of in-depth semi-structured interviews conducted in Australia with 25 family members of Veterans/PSP. Results: Families were deeply embedded and aligned to their family member's role in the community, with significant empathy for sense of duty, and a profound sense of betrayal and distress when attempts to support family members were perceived as blocked or challenged. The conceptual model demonstrates families' help-seeking processes and how they may vicariously experience moral distress from being caught in a liminal space in which they can see the problem and potential support solutions but have no options to realize timely supports for family members. Discussion: This study offers a detailed model of how moral distress can arise for families of Veterans/PSP who experience mental health concerns. It demonstrates how organizational culture at Departments of Defence, Veterans' Affairs, and public safety groups exclude families, exacerbating a sense of moral distress. Implications and recommendations for Veteran/PSP organizations and health professionals to promote more meaningful involvement and consideration of families is discussed.

Indexed as

Australiacaregiversfamilyhelp-seekingmental healthmilitarymoral distressorganizational culturepublic safety personnelVeterans

Identifiers

PMID42533892
PMCPMC13293004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.